A5091670687- Pelvic and Acetabular Injuries
- Hip and Femur Fractures
- Hernia repair and management
- Trauma and Emergency Care Studies
- Bone fractures and treatments
- Orthopedic Surgery and Rehabilitation
- Elbow and Forearm Trauma Treatment
- Minimally Invasive Surgical Techniques
- Artificial Intelligence in Healthcare and Education
- Spinal Fractures and Fixation Techniques
- Traumatic Ocular and Foreign Body Injuries
- Trauma Management and Diagnosis
- Abdominal Trauma and Injuries
- Congenital Diaphragmatic Hernia Studies
- Pregnancy-related medical research
- Facial Trauma and Fracture Management
- Anatomy and Medical Technology
- Advanced X-ray and CT Imaging
- Disaster Response and Management
- Congenital Heart Disease Studies
- Intestinal and Peritoneal Adhesions
- Autopsy Techniques and Outcomes
- Biomedical Ethics and Regulation
- Musculoskeletal pain and rehabilitation
- Medical Imaging and Analysis
Radboud University Nijmegen
2021-2025
Ministry of Defence
2023-2025
Radboud University Medical Center
2021-2025
Ministry of Defence
2024
University Medical Center Groningen
2020-2023
Isala
2023
University Medical Center
2022
University of Groningen
2020-2021
Universidade Federal de Campina Grande
2020
Altran (France)
2020
To compare different Machine Learning (ML) Natural Language Processing (NLP) methods to classify radiology reports in orthopaedic trauma for the presence of injuries. Assessing NLP performance is a prerequisite downstream tasks and therefore importance from clinical perspective (avoiding missed injuries, quality check, insight diagnostic yield) as well research (identification patient cohorts, annotation radiographs). Datasets Dutch injured extremities (n = 2469, 33% fractures) chest...
Convolutional neural networks (CNNs) are increasingly being developed for automated fracture detection in orthopaedic trauma surgery. Studies to date, however, limited providing classification based on the entire image-and only produce heatmaps approximate localization instead of delineating exact morphology. Therefore, we aimed answer (1) what is performance a CNN that detects, classifies, localizes, and segments an ankle fracture, (2) would this be externally valid?The training set...
Background: Severe lower limb trauma is associated with substantial impact on health-related quality of life. In some cases, severity the necessitates a decision between reconstruction and amputation. Therefore, aim this study was to identify variables long-term life using LIMB-Q, compare outcomes patients undergoing amputation versus those receiving reconstructive surgery. Methods: This retrospective, cross-sectional study, conducted at two Dutch healthcare institutions, involved severe who...
Recently, Rommens and Hoffman introduced a CT-based classification system for fragility fractures of the pelvis (FFP). Although fracture characteristics have been described, relationship with clinical outcome is lacking. The purpose this study was to get insight into type treatment subsequent after all types FFP.A cross-sectional cohort performed including elderly patients (≥ 65 years) CT-diagnosed FFP, between 2007-2019 in two level 1 trauma centers. Data regarding treatment, mortality...
Background:There are no data on laparoscopic repair of ventral and incisional hernias (LRVIH) in fertile women who intend to have further pregnancies. A unique series is described 8 got pregnant gave birth after LRVIH.Methods:Medical records 875 consecutive patients underwent LRVIH were reviewed. Women identified. At follow-up, answered a questionnaire pain, discomfort, recurrence, problems during pregnancy delivery physical examination.Results:Eight identified; all agreed inclusion. Four...
Aims The aim of this study was to investigate the association between fracture displacement and survivorship native hip joint without conversion a total arthroplasty (THA), determine predictors for THA in patients treated nonoperatively acetabular fractures. Methods A multicentre cross-sectional performed 170 who were an three level 1 trauma centres. Using post-injury diagnostic CT scan, maximum gap step-off values weightbearing dome digitally measured by two surgeons. Native survival...
The assessment of gaps and steps in acetabular fractures is challenging. Data from various imaging techniques to enable accurate quantification fracture displacement are limited. aim this study was assess the accuracy pelvic radiographs, intraoperative fluoroscopy, computed tomography (CT) detecting step-offs fractures. Sixty patients, surgically treated for fractures, were included. Five observers (5400 measurements) measured on radiographs CT scans. Intraoperative fluoroscopy images...
We investigated if a novel fixation device with absorbable tacks (Securestrap) causes less early and chronic postoperative pain after laparoscopic repair double-crown mesh of ventral abdominal wall hernia when compared the standard nonabsorbable titanium (Protack). The primary outcome measure was at 2, 6, 12 weeks postoperatively. secondary measured ≥18 months surgery. Pain levels were assessed using visual analog scale ranging from 0 (no pain) to 100 mm (excruciating pain). Early...
Abstract Background Gap and stepoff values in the treatment of acetabular fractures are correlated with clinical outcomes. However, interobserver intraobserver variability gap measurements for all imaging modalities preoperative, intraoperative, postoperative phase is unknown. Recently, a standardized CT-based measurement method was introduced, which provided opportunity to assess level variability. Questions/purposes (1) In patients fractures, what fracture gaps articular stepoffs...
Adequate pain relief, early restoration of breathing, and rapid mobilization pose a clinical challenge in patients with blunt chest trauma. Virtual reality (VR) has the potential to achieve these 3 interrelated treatment objectives enhanced self-efficacy autonomy limited support by clinicians. This study aimed assess effectivity breathing physical exercises using VR on pulmonary recovery trauma at ward. A pilot randomized controlled trial was performed. The control group received usual...
Objectives: Implementation of one week cast immobilization followed by gradually increasing wrist mobilization for non- or minimally displaced DRF and comparison the functional outcomes pain scores with usual care (three to five weeks immobilization). Methods: Design : A randomized stepped wedge cluster design, prospective cohort. Setting: Academic peripheral hospitals in level 1, 2, 3 trauma centers. Patient Selection Criteria: All patients between 18 85 years old an isolated nonreduced...
Due to the complex anatomical shape of pelvis, screw placement can be challenging in acetabular fracture surgery. This study aims assess accuracy using patient-specific surgical drilling guides applied pre-contoured conventional implants CT scans were made four human cadavers create 3D models each (unfractured) pelvis. Implants on printed pelvic and optically scanned. Following virtual preoperative planning, designed fit top implant printed. The differences between pre-planned actual...
Fractures of the superior pubic ramus can be treated with screw insertion into osseous fixation pathway (OFP) anterior column (AC). The entry point determines whether exits OFP prematurely. This harmful when it enters hip joint or damages soft tissues inside lesser pelvis. exact varies between patients and difficult to ascertain on fluoroscopy during surgery. aim this study was determine variation in location point. A retrospective single center performed at a level 1 trauma Netherlands....
The conventional treatment for distal radius fractures typically involves immobilization of the injured extremity using a forearm cast. These casts do cause all sorts discomfort during wear and impose life-style restrictions on wearer. Personalized 3D printed splints, designed three-dimensional (3D) imaging systems, might overcome these problems. To obtain patient specific splint, commercially available camera systems are utilized to capture extremities, generating models splint design. This...
In the context of climate change, hospitals that use significant amounts disposable products are undertaking sustainability initiatives. This can be supported by Life Cycle Analysis (LCA), in which an increase is noted medical domain to study and implement sustainable alternatives. However, implementation new technology such as 3D printing generate personalized devices raises additional challenges. As common wrist injuries like a distal radius fracture, show high prevalence (200-400 times...
Abstract Objectives To identify acetabular fracture patterns classified according to Letournel that are at risk of conversion total hip arthroplasty (THA). Design A retrospective cohort study. Setting Level-I trauma center. Patients/ Participants Patients with an fracture, who were treated ORIF ( n = 280). Interventions Various surgical treatments for fractures. Main outcome measure The primary was the rate arthroplasty. Results In this study, overall THA 13.9% within 2.2 years after initial...
Objective This case report describes the physiotherapy treatment of a soldier who suffered severe combat blast injury.
Isolated acetabular fractures can occur as a result of high energy impact on the hip joint. Surgery is required for most patients with an isolated fracture in order to alleviate pain, restore joint stability, and regain function. This study was conducted examine course function after surgical treatment traumatic fracture.This prospective series consecutive cases included who underwent surgery European level one trauma center between 2016 2020. Patients relevant concomitant injuries were...